Individual provider Active NPI

Lisa Casey, LMSW

  • Social Worker
  • Ballston Spa, NY
National Provider Identifier
1598482143
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117954 Issued in NY
Practice address
289 Meadowlark Dr
Ballston Spa, NY 12020-2649
Phone
(518) 633-4179
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117954 NY Primary

Addresses

Primary practice location

289 Meadowlark Dr
Ballston Spa, NY 12020-2649

Mailing address

289 Meadowlark Dr
Ballston Spa, NY 12020-2649

Other identifiers 1

IdentifierTypeStateIssuer
0Other0

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lisa_casey@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117954NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1598482143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MEADOWLARK DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MEADOWLARK DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202649",
            "telephone_number": "518-633-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lisa_casey@yahoo.com",
            "affiliation": "N",
            "address_1": "289 Meadowlark Dr",
            "city": "Ballston Spa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120202649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.